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Fig. 13 | Insights into Imaging

Fig. 13

From: Chronic nonbacterial osteomyelitis: the role of whole-body MRI

Fig. 13

A 10-year-old girl complaining of thoracic and lumbar pain for two years who was initially treated for Langerhans cell histocytosis, despite two negative biopsies, without resolution of the pain. A WB-MRI was performed, showing bone marrow edema in the iliac portion of the right sacroiliac joint with joint effusion (a), lesion in the left proximal tibial metaphysis extending to the epiphysis (b) and edema and height loss of the vertebral body of T1 (c). The patient started treatment for CNO with non-steroidal anti-inflammatory drugs (NSAIDs) and pamidronate and showed clinical improvement. WB-MRI performed after 3 months showed stability of the T1 fracture (d) and complete resolution of the lesions of the pelvis (e) and the knee (f), without the appearance of new lesions

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